Organization Active NPI

Dove Medical LLC

  • Durable Medical Equipment & Medical Supplies
  • Fresh Meadows, NY
National Provider Identifier
1407523400
Registry record updated Aug 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
DOVE MEDICAL LLC
Practice address
6909 164TH St Ste 204
Fresh Meadows, NY 11365-3252
Phone
(347) 279-5708
NPI assigned
Aug 26, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Natanel Babyev
Title
Shareholder
Phone
(347) 279-5708

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

6909 164TH St Ste 204
Fresh Meadows, NY 11365-3252

Mailing address

6909 164TH St Ste 204
Fresh Meadows, NY 11365-3252
Phone (347) 279-5708

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220317001450 NY DME Supplier - Medical Supply Company 6406241090 Practice locations: Fresh Meadows, NY

National Provider Directory

National Provider Directory

Locations

6909 164th St
Ste 204
Fresh Meadows, NY 11365
Phone (347) 279-5708

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1629936000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1629936000000",
    "number": "1407523400",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6909 164TH ST STE 204",
            "city": "FRESH MEADOWS",
            "state": "NY",
            "postal_code": "113653252",
            "telephone_number": "347-279-5708"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6909 164TH ST STE 204",
            "city": "FRESH MEADOWS",
            "state": "NY",
            "postal_code": "113653252",
            "telephone_number": "347-279-5708"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOVE MEDICAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-26",
        "last_updated": "2021-08-26",
        "certification_date": "2021-08-26",
        "status": "A",
        "authorized_official_last_name": "BABYEV",
        "authorized_official_first_name": "NATANEL",
        "authorized_official_title_or_position": "SHAREHOLDER",
        "authorized_official_telephone_number": "347-279-5708"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fresh Meadows, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.